ENTRY BLANK
PLEASE TYPE OR PRINT Entered previous May Show
Temporary
Address
Street City
Tel. ( )
Zip Area Code
Permanent address is in what county?
Born in Cuyahoga County □ Yes
Collaborator
(If Any)
If May Show entries are not accepted or not sold:
Artist will pick up at Museum.
□ Museum should dispose of.
I I Museum should ship to artist C.O.D. at this address:
Lake, County
0 No
Special Instructions
When necessary include below instructions or a drawing of how
the object is to be assembled and displayed.
THE RETURNED CARD IS YOUR ONLY RECEIPT TO CLAIM
YOUR ENTRIES . Do not lose it.
This entry blank must be fully made out and signed. Unsigned
entry blanks will not be accepted.
Note carefully calendar for delivery and return of objects. It is
understood that the Museum will have the right to dispose for
its own account any objects not called for by the dates listed.
It is also understood that accepted objects will remain on
exhibition until January 2, 1977.
The submission of objects will be construed as acceptance of all
conditions printed in the entry information.
Signature.
jM
-
S'
V
Ientry blanks
1
□ 1 . Paintings JZ32. Graphics UJ3. Photography
[ \UA. Sculpture (Hl5. Electric EU6. Crafts
1 Medium
i or Materials
utim
Soto - v 1
iMmIV
’ l r'V ZtupS.
T, ’“ Twelve 6?wwes of Ekofi'on
Insurance Value
Size
If NFS Only
|
Price or NFS
■
50. c 0
GRAPHICS AND PHOTOGRAPHY ONLY
Additional No. For Sale
/
Total No. in Edition
IG
Price
(i Ltnframed
1 crrv
Price of
Frame
DO /VOr WRITE IN THIS SECTION
*
ACCEPTED
REJECTED
: PAID
its
□ 1 . Paintings □ 2. Graphics □ 3. Photography
□ 4. Sculpture IHI5. Electric \U6. Crafts
Medium or Materials
photography , a.oe, . ..
a i/a p wfe , w h \ rc ? ■
mfe
*}/ COW
Title
Oeil ok Oefroii
! Price or NFS
{ f(?0,oo
Insurance Value
If NFS Only ph fj
_ II v*
-*X
Size
GRAPHICS AND PHOTOGRAPHY ONLY
nS
Additional Mo. For Sale
If '
Total Nt|. rmEdition
W
Price
Unframed
Price of
Frame
DO NOT WRITE IN TUIS SECTION
/**.
ACCEPTED
REJECTED |
X
RECEIVED
'6HL- 1